Organization
GYN ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GRESHAM M.D. (PARTNER)
(201) 567-0522
Entity
Organization
Contact information
Practice address
10 ZABRISKIE ST, HACKENSACK, NJ 07601-4905
(201) 567-0522
(201) 567-5955
Mailing address
10 ZABRISKIE ST, HACKENSACK, NJ 07601-4905
(201) 567-0522
(201) 567-5955
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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